臨床整形外科58巻12号

2023年12月発行

特集 がん時代の整形外科必携！　骨転移診療アップデート 骨転移集学的治療各論

脊椎転移に対する新たな放射線治療—SBRTと通常照射はここが違う

著者： 伊藤慶¹

所属機関： ¹東京都立駒込病院放射線科治療部

ページ範囲：P.1475 - P.1480

脊椎転移のうち，有痛性病変，転移性脊髄圧迫などを対象に従来の緩和照射(ここでは通常照射と呼ぶ)は行われてきた．これについては，確かな有効性と安全性が高いエビデンスレベルで証明されている．一方，近年では放射線治療の技術革新に伴い，定位放射線治療(SBRT)が脊椎転移に対しても用いられるようになった．極めて高い局所制御割合を示すSBRTが，患者にどのような恩恵をもたらすのか．本稿では，適応病態ごとにSBRTと通常照射の成績の違いを比較し，臨床現場におけるSBRTの活用法を提案する．

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